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Percutaneous management of bile-plug syndrome: a case report

Levent Duman1, Behçet Ilker Büyükyavuz, Mustafa Akcam

  • 1Department of Pediatric Surgery, Süleyman Demirel University Medical School, Isparta, Turkey. leduman@gmail.com

Insights

Bile-plug syndrome, a correctable cause of infant obstructive jaundice, can be treated with minimally invasive percutaneous biliary interventions. This approach offers a potential alternative to surgery for infants with this condition.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Radiology
  • Neonatal Surgery

Background:

  • Bile-plug syndrome is an obstruction of the common bile duct by bile sludge in infants.
  • It is a treatable cause of obstructive jaundice in neonates and infants.
  • Surgical intervention is the traditional treatment for bile-plug syndrome.

Observation:

  • A 5-month-old infant presented with symptoms of bile-plug syndrome.
  • The infant's condition involved obstruction of the common bile duct due to bile sludge.
  • This case highlights a specific instance of the syndrome in a young child.

Findings:

  • Percutaneous biliary interventions were successfully employed to treat the infant's bile-plug syndrome.
  • This represents the first reported instance of percutaneous treatment for bile-plug syndrome in an infant.
  • The minimally invasive procedure effectively resolved the bile duct obstruction.

Implications:

  • Percutaneous biliary interventions may serve as a viable, less invasive alternative to surgery for infants with bile-plug syndrome.
  • This approach could potentially reduce recovery times and complications associated with traditional surgical methods.
  • Further research into percutaneous techniques for pediatric bile duct obstruction is warranted.

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